A 28-year-old nulligravid woman has had increasingly severe dysmenorrhea over the past 2 years and dyspareunia and pain with defecation for 6 months. She has been unable to conceive for 2 years. Pelvic examination shows a fixed, tender, retroverted uterus, nodularity of the uterosacral ligaments, and tender adnexa bilaterally; there is a 5-cm, tender, cystic, right adnexal mass. A pregnancy test is negative.
Select the most likely diagnosis.
A) Adenomyosis
B) Adnexal torsion
C) Appendicitis
D) Diverticulitis
E) Ectopic pregnancy
F) Endometriosis
G) Endometritis
H) Inflammatory bowel disease
I) Leiomyomata uteri
J) Ovarian carcinoma
K) Pelvic inflammatory disease
L) Primary dysmenorrhea
M) Renal calculus
N) Ruptured corpus luteum cyst
O) Spontaneous abortion

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A41-year-old man comes to the clinic complaining of a chronic cough over the past 4 months, which has now been accompanied by haemoptysis. he denies smoking or any past medical history. on physical examination, his head and neck examination is normal. his lungs have diffuse bilateral rales. cardiac examination is normal. laboratory findings reveal na 142 meq/l, k 4.2 meq/l, cl 110 meq/l, hco3 24 meq/l, bun (blood urea nitrogen) 39 mg/dl, creatinine 2.9 mg/dl. urinalysis reveals microscopic haematuria and 4+ proteinuria. which of the following serologic blood tests would most confirm the suspected diagnosis? - anti-glomerular basement membrane antibodies- anti-mitochondrial antibodies- anti-neutrophilic antibodies- anti-parietal cell antibodies- anti-smooth muscle antibodies

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